These patients experience jaundice as their primary symptom. Patients who develop delayed symptoms from a bile duct injury usually have scarring of the bile duct from the injury, which leads to narrowing of the bile duct (bile duct stricture) so that bile cannot pass through. Since patients generally recover rapidly after laparoscopic cholecystectomy, physicians should carefully evaluate patients who are not improving for possible bile duct injury from laparoscopic cholecystectomy. Some of the symptoms that are associated with this include: Patients with early onset of symptoms, usually present with leakage of bile into the abdominal cavity. Patients with bile duct injury after a laparoscopic cholecystectomy may experience symptoms soon after surgery, or several weeks to months after the injury has occurred. In addition to injury to the bile duct, injury to the hepatic artery (the blood vessel that supplies blood to the liver) is commonly associated with a bile duct injury, in 20 percent of cases. The bile then backs up into the liver and spills over into the bloodstream causing obstructive jaundice. The narrow bile duct prevents the bile from draining into the intestine. It is estimated that as many as 1% of gallbladder operations may lead to injury to the bile duct with subsequent development of a bile duct stricture.Ī bile duct stricture is caused by the narrowing of the bile duct, due to scar formation. The most common cause of bile duct injuries is trauma to the bile duct during a laparoscopic cholecystectomy (gallbladder surgery). Pancreatic Cysts/Intraductal Papillary Mucinous Your doctor may also suggest that you take a multivitamin to compensate for malabsorption of fat-soluble vitamins.Bile Duct Injuries Following Gallbladder SurgeryĬentrally Mediated Abdominal Pain Syndrome (CAPS) Your doctor may recommend medicines, such as loperamide (Imodium A-D), which slows down intestinal movement, or medications that decrease the laxative effect of bile, such as cholestyramine (Prevalite). Talk with your doctor if your diarrhea doesn't gradually go away or becomes more severe, or if you lose weight and become weak. You may also try limiting foods that tend to worsen diarrhea, including: A healthy meal should include small amounts of lean protein, such as poultry, fish or fat-free dairy, along with vegetables, fruits and whole grains. This may ensure a better mix with available bile. But be sure to increase the amount of fiber slowly, such as over several weeks, because too much fiber at first can make gas and cramping worse. Add soluble fiber, such as oats and barley, to your diet. Check labels and follow the serving size listed. Low-fat foods are those with no more than 3 grams of fat a serving. Instead, choose fat-free or low-fat foods. Avoid high-fat foods, fried and greasy foods, and fatty sauces and gravies for at least a week after surgery. Smaller amounts of fat are easier to digest, while larger amounts can remain undigested and cause gas, bloating and diarrhea.Īlthough there isn't a set gallbladder removal diet, the following tips may help minimize problems with diarrhea after you've had your gallbladder out: The amount of fat you eat at one time also plays a role. When the gallbladder is removed, bile is less concentrated and drains more continuously into the intestines, where it can have a laxative effect. Normally, the gallbladder collects and concentrates bile, releasing it when you eat to aid the digestion of fat. Diarrhea after gallbladder removal seems to be related to the release of bile directly into the intestines. There isn't a specific gallbladder removal diet that you should follow if you have this problem, but there are a few things you might consider.įirst, it helps to understand why you're having diarrhea. In most cases, the diarrhea lasts no more than a few weeks to a few months. Indeed, the time period between cholecystectomy and development of complications has been reported. After having their gallbladder removed (cholecystectomy), some people develop frequent loose, watery stools. The time scale for this pathophysiological process can vary.
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